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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.28 - Nº 2 - Jul. 2012

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Mother-to-child transmission of Koch’s bacillus in an immunocompetent patient admitted in the Intensive Care Unit with a diagnosis of septic shock

CARDINAL-FERNANDEZ P; GALIANA A; LASSERE P; LARRAÑAGA E; PORTEIRO G; MONTES DE OCA O
Rev Med Urug 2012; 28: 142-147
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Tuberculosis is a pathology that has evidenced a significant global increase in the last years.

Severe sepsis and septic shock may be caused by any micro-organism. However, some of them, such as the Micobacterium tuberculosum complex, only result in these clinical symptoms exceptionally, and thus diagnosis constitutes a challenge for the health team.

The study presents the case of a 23 year old immunocompetent female patient who was admitted into the Intensive Care Unit at 28 week of gestation due to a respiratory failure. The patient was diagnosed with bacteremia and septic shock caused by Micobacterium tuberculosis and mother-to-child transmission was confirmed.

The patient died 48 hours after admission with hypoxemia and refractory shock.